HomeMy WebLinkAboutPermit Electrical 1997-6-6
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The following project as $Ubmitt8d n:.ls ths folio' ~
225 FIFTH STREET ""I ' :~ni~lr\~nd de,=s not rE1qlliiC GPo~iH'EtELJfRIeAL PERMIT APPLIeATION
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SPRINGFIELD, 'OREGON 97477 - ,""" \ ct (' (} _ () 2/_ C1
INSPECTION REQUEST: 726-3769 {~j"on;;,;, City Job Number~ Cl.!...e:-./
OFFleE: 726-3759 om~~~
" :' ,,' " ': " ' ," , A" '--' S' 3 . '^ ..cA)MPLETE FEE SCHEDULE BELO\l
";; :,v:'''~,{. LOCATION OF INSTALLATION umonzt"U Ignature I \IV1
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SprllNGFIELO .
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New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
I~' . .
LEGAL DES~fTION
II ",3 ~ '7 t./3
()33Q{)
Items
Cost
Sum
JOB DESCRIPTION
(~A7"> f:u v ,uAL~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
$ 15.00
$ 40.00
, I
2. CONTRACTOR INSTALLATION ONLY
B.
Services or Feeders
Installation, Alterations dr
Relocation:
Electrical Contractor~r~<iQ.J r:(ec tSQ'yV~<'-Q
/
Address ::L~/O uJl cl- &(
Ci ty -f [Hi t=' Ld'
J
Supervisor License
Phone ""3 tt3 - J ~8 \
Number 13'{ ;k5
10- I - r 8
;
I
,
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Expiration Date
Constr Contr. Number ";;lD-J.f be
e. Temporary Services or Feeders
Installation, Alteration or Relocation
, ,
" . i.!
Expiration Date II) _ ( .... <71")
S~I:: :u;;;;:g Electrician
Owners Name J' A-.56.<.J 'Rn<) '"
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00 '
see "B" above
D. Branch eircuits
Address d-Lj c'S" (tH-' roM fl.y
ei ty<)' 41 ~d. Phone 7 q f:, , Y I 93
(j'
O\lNER INSTALLATION
New, Alteration or Extension Per Panel
One ei-rcui t
Each Additional
eircuit or with Service
or Feeder Permit
$ 35.00 . I
$ 2.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included) '~
-Each installation
Pump or irrigation' $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $36.00
5.' SUBTOTAL OF ABOVE ;) 5 . ()O
5% State ,Surcharge -I - 7-;-
TOTAL 3/0 ~D I. oS
3~ Jj 37. g-O:
, Owners Signature:
. ~ATE 1;-t&7~ q-------~--------------
, REeEIPT'it: o207:J.... '
REeEIVED BY: 17 /Y)(L(~ 0. rUJ